PAUL TRUMBULL

BLOOMINGTON, IL
NPI1912159872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070007148)
Enumeration Date2008-10-22
Last Update Date2008-10-22
Business Address
Mr. PAUL TRUMBULL P.T.
412 LAKE SHORE CIR
BLOOMINGTON, IL 61704-1433
Phone number: 309-661-2710
Mailing Address
Mr. PAUL TRUMBULL P.T.
412 LAKE SHORE CIR
BLOOMINGTON, IL 61704-1433
Phone number: 309-661-2710